Johnathan T Stillwagon
Peer Specialist • Medford, OR
Professional Overview & Biography Verified Profile Summary
Johnathan Stillwagon is a registered healthcare professional specializing in Peer Specialist in Medford, OR. Practice services are available at 1026 N BERKELEY WAY UNIT 2MEDFORD under active NPI credentials.
Practice Location & Contact Primary Location
1026 N Berkeley Way Unit 2medford
Medford, OR 975046226
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Medford, OR
Practicing in Medford, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-07-06NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1026 N BERKELEY WAY UNIT 2MEDFORD, MEDFORD, OR 975046226 (Tel: 4582260017)
Registered at 1026 N BERKELEY WAY UNIT 2MEDFORD, MEDFORD, OR 975046226 (Tel: 4582260017)
Recorded as JOHNATHAN STILLWAGON
Peer Specialist (License #7958 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1026 N Berkeley Way Unit 2medford
Medford, OR 975046226
Phone: 4582260017
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